Factors associated with women's autonomy regarding maternal and child health care utilization in Bale Zone: a community based cross-sectional study.
Factors associated with women's autonomy regarding maternal and child health care utilization in Bale Zone: a community based cross-sectional study.
复制标题
DOI：
10.1186/1472-6874-14-79
复制
发表时间：
2014-07-03
期刊：
影响因子：
--
通讯作者：
Deribe K
中科院分区：
文献类型：
--
作者：
Nigatu D;Gebremariam A;Abera M;Setegn T;Deribe K
妇女在保健决定方面的自主权是改善妇幼保健的先决条件。人们对埃塞俄比亚妇女的自主权及其对妇幼保健的影响因素知之甚少。因此，本研究旨在评估埃塞俄比亚东南部妇女的自主权并确定相关因素。2011年3月19日至3月28日进行了一项基于社区的横断面研究。采用分层抽样技术，从农村和城市kebeles中共选出706名妇女。采用问卷调查法收集定量数据，并使用SPSS for Window 16.0进行统计分析。进行描述性统计，双变量和多元逻辑回归分析，以确定与妇女的自主性的卫生保健利用的相关因素。在706名妇女中，只有不到一半（41.4%）的人在自己和子女的健康方面拥有较高的自主权。在多元logistic回归模型中，家庭月收入>1000 ETB [调整后的比值比（AOR）：3.32（95% C.I：1.62-6.78）]，有工作的丈夫[AOR：3.75（95%C.I：1.24-11.32）]，处于核心家庭结构[AOR：0.53（95%C.I：0.33-0.87）]、一夫一妻制婚姻[AOR：3.18（95%C.I：1.35-7.50）]、对妇幼保健服务有了解和有良好的态度与妇女自主性的增加独立相关。社会人口和母亲的因素（知识和态度）被认为是影响妇女的自主权。针对妇女在妇幼保健方面的自主权的干预措施应侧重于提高认识，并应优先考虑社会经济地位较低的妇女。
Women's autonomy in health-care decision is a prerequisite for improvements in maternal and child health. Little is known about women’s autonomy and its influencing factors on maternal and child health care in Ethiopia. Therefore, this study was conducted to assess women’s autonomy and identify associated factors in Southeast Ethiopia. A community based cross-sectional study was conducted from March 19th until March 28th, 2011. A total of 706 women were selected using stratified sampling technique from rural and urban kebeles. The quantitative data were collected by interviewer administered questionnaire and analyzed using SPSS for window version 16.0. Descriptive statistics, bivariate and multiple logistic regression analyses were carried out to identify factors associated with women’s autonomy for health care utilization. Out of 706 women less than half (41.4%) had higher autonomy regarding their own and their children’s health. In the multiple logistic regression model monthly household income >1000 ETB [adjusted odds ratio(AOR):3.32(95% C.I: 1.62-6.78)], having employed husband [AOR: 3.75 (95% C.I:1.24-11.32)], being in a nuclear family structure [AOR: 0.53(95% C.I: 0.33-0.87)], being in monogamous marriage [AOR: 3.18(95% C.I: 1.35-7.50)], being knowledgeable and having favorable attitude toward maternal and child health care services were independently associated with an increased odds of women’s autonomy. Socio-demographic and maternal factors (knowledge and attitude) were found to influence women’s autonomy. Interventions targeting women’s autonomy with regards to maternal and child health care should focus on addressing increasing awareness and priority should be given to women with a lower socioeconomic status.
登录
查看更多内容
影响因子：
3.4
作者：
Saleem S;Bobak M
通讯作者：
Bobak M
影响因子：
3.5
作者：
Bloom, SS;Wypij, D;Das Gupta, M
通讯作者：
Das Gupta, M
影响因子：
1.8
作者：
Kritz, MM;Makinwa-Adebusoye, P
通讯作者：
Makinwa-Adebusoye, P
DOI：
10.1363/3201706
发表时间：
2006-03-01
期刊：
INTERNATIONAL FAMILY PLANNING PERSPECTIVES
影响因子：
--
作者：
Furuta, M;Salway, S
通讯作者：
Salway, S
影响因子：
2.9
作者：
Brunson, Emily K.;Shell-Duncan, Bettina;Steele, Matthew
通讯作者：
Steele, Matthew